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1902208499
FELESIA OTIS
PORTLAND, OR
NPI
1902208499
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR 06-07-64)
Enumeration Date
2014-09-16
Last Update Date
2014-09-16
Business Address
-- FELESIA OTIS CADC II
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-595-3477
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Mailing Address
-- FELESIA OTIS CADC II
3910 SE STARK ST
PORTLAND, OR 97214-3241
Phone number: 503-595-3477
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